Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle Bryan Frazier, DDS

Individual provider Dentist · NPI 1003102435

Dr. Kyle Bryan Frazier, DDS is an Oral Surgery in Wilkes Barre, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Texas.

Years since qualifying
14
Licensed in
PA, TX
In the registry since
2011
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Phone: (570) 808-5626
Fax: (570) 808-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS043990 (PA)
Dentist Taxonomy 122300000X · Licence 27097 (TX)
Oral and Maxillofacial Pathology Dentistry Taxonomy 1223P0106X · Licence 27097 (TX)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 27097 (TX)

Record details

NPI number1003102435
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilkes Barre